| Kersenbrock Medical And Wellness, Llc | |
|
760 Currency Cir Ste A Lake Mary FL 32746-2138 | |
| (407) 732-6920 | |
| (407) 732-6923 |
| Full Name | Kersenbrock Medical And Wellness, Llc |
|---|---|
| Speciality | General Practice |
| Location | 760 Currency Cir Ste A, Lake Mary, Florida |
| Authorized Official Name and Position | Benjamin Dale Kersenbrock (OWNER) |
| Authorized Official Contact | 4077326920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kersenbrock Medical And Wellness, Llc 760 Currency Cir Ste A Lake Mary FL 32746-2138 Ph: (407) 732-6920 | Kersenbrock Medical And Wellness, Llc 760 Currency Cir Ste A Lake Mary FL 32746-2138 Ph: (407) 732-6920 |
| NPI Number | 1154816510 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154816510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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